Individual
DR. MADELINE SCHEIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SW 5TH AVE, #222, PORTLAND, OR 97204-1147
(503) 468-7191
Mailing address
2109 BONNIE LN, FOREST GROVE, OR 97116-8603
(612) 615-8104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10066
OR
Other
Enumeration date
07/10/2014
Last updated
08/08/2014
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